Healthcare Provider Details

I. General information

NPI: 1326813320
Provider Name (Legal Business Name): HOME TEAM MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HIGHWAY 280 S STE 370E
MOUNTAIN BRK AL
35223-5409
US

IV. Provider business mailing address

2700 HIGHWAY 280 S STE 370E
MOUNTAIN BRK AL
35223-5409
US

V. Phone/Fax

Practice location:
  • Phone: 205-709-1820
  • Fax: 205-709-1821
Mailing address:
  • Phone: 205-709-1820
  • Fax: 205-709-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT L GREEN
Title or Position: OWNER
Credential: MD
Phone: 757-784-2320